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58 year old man The patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft. He did well post-op and then he noticed when he got out of the hospital that the right eye was worse. The right eye had been weaker than the left even after LASIK in the early 2000s. Over the last 7 days now that he has noticed that the right eye is getting better each day. He is on coumadin and will be on it for 3 months. He noticed 10 days ago that there was some graying in the right eye which is now getting a little bit better. Medical Hx: Kidney Disease. type 1 aortic dissection / aneurysm . Surgical Hx: thoracotomy . valve replacement . aortic graft. Systemic Meds: Wellbutrin XL 150 MG 24 HR Extended Release Tablet. Coumadin 3 MG Oral Tablet. METOPROLOL TARTRATE. Simvastatin, 20 mg oral tablet. VA OD: Dsc20/20-2 NccJ5 VA OS: Dsc20/16-1 NccJ2 IOP: TP: OD:12 OS:11

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Cotton Wool Spots following cardio-pulmonary bypass111 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_02.jpg
Cotton Wool Spots following cardio-pulmonary bypass99 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_04.jpg
Cotton Wool Spots following cardio-pulmonary bypass100 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_01.jpg
Cotton Wool Spots following cardio-pulmonary bypass74 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_05.jpg
Cotton Wool Spots following cardio-pulmonary bypass75 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_06.jpg
Cotton Wool Spots following cardio-pulmonary bypass84 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_07.jpg
Cotton Wool Spots following cardio-pulmonary bypass78 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_08.jpg
Cotton Wool Spots following cardio-pulmonary bypass55 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_09.jpg
Cotton Wool Spots following cardio-pulmonary bypass68 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_10.jpg
Cotton Wool Spots following cardio-pulmonary bypass123 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_11.jpg
Cotton Wool Spots following cardio-pulmonary bypass83 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_12.jpg
Cotton Wool Spots following cardio-pulmonary bypass115 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_13.jpg
Cotton Wool Spots following cardio-pulmonary bypass55 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_14.jpg
Cotton Wool Spots following cardio-pulmonary bypass77 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_15.jpg
Cotton Wool Spots following cardio-pulmonary bypass87 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_16.jpg
Cotton Wool Spots following cardio-pulmonary bypass81 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_17.jpg
Cotton Wool Spots following cardio-pulmonary bypass117 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_18.jpg
Cotton Wool Spots following cardio-pulmonary bypass89 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_19.jpg
Cotton Wool Spots following cardio-pulmonary bypass65 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_20.jpg
Cotton Wool Spots following cardio-pulmonary bypass65 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
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58 year old man The patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft. He did well post-op and then he noticed when he got out of the hospital that the right eye was worse. The right eye had been weaker than the left even after LASIK in the early 2000s. Over the last 7 days now that he has noticed that the right eye is getting better each day. He is on coumadin and will be on it for 3 months. He noticed 10 days ago that there was some graying in the right eye which is now getting a little bit better. Medical Hx: Kidney Disease. type 1 aortic dissection / aneurysm . Surgical Hx: thoracotomy . valve replacement . aortic graft. Systemic Meds: Wellbutrin XL 150 MG 24 HR Extended Release Tablet. Coumadin 3 MG Oral Tablet. METOPROLOL TARTRATE. Simvastatin, 20 mg oral tablet. VA OD: Dsc20/20-2 NccJ5 VA OS: Dsc20/16-1 NccJ2 IOP: TP: OD:12 OS:11